Childrens Names Wher. Legitimate or Illegitimate
When Admitted or Born in the House, If not Admitted, Note it
Age when Admitted Y M D
Mothers Name Settlemt. & Residence.
Fathers Name Settlemt. Residence & Occupation
When Placed out to Nurse
Nurses C:& Sir Name If the Mor. or other, Relation to be so Described
Nurses Residence [..] be Plarised
Weekly Allowance
Bounty
When Paid
When Died at Nurse, Wher Supposed to be Occasioned by the Nurses Negligence or how
If Removed, When, where, with whom & how Placed.
Remarks